[26F] With painful swelling under the eye

What might be happening

Based on your symptoms, here are a few possibilities:

• Stye (Hordeolum): This is an infection of one of the glands in the eyelid, resulting in a tender, red lump on the edge of the eyelid. Styes are usually caused by staphylococcal bacteria. They can be painful, especially when blinking.

  • Treatment typically involves warm compresses and keeping the eyelid clean. Antibiotic ointments may be prescribed by a doctor if necessary.

• Chalazion: This is a painless bump or cyst that can develop on the eyelid due to a blocked oil gland. It can start off small and gradually increase in size. Although it's usually painless, it can become inflamed and tender.

  • Treatment often involves warm compresses and gentle massage to promote drainage. In some cases, a doctor may need to drain it or prescribe medication.

• Blepharitis: This is inflammation of the eyelid, causing it to become red, irritated and itchy, and sometimes leading to swelling. It's usually associated with an infection or a skin condition like dandruff or rosacea.

  • Treatment involves keeping the eyelids clean and free from crusts. In some cases, antibiotic or steroid creams may be prescribed by a doctor.

What you can do

1. Apply a warm compress to the affected area for 10-15 minutes, 3-4 times a day. This can help to reduce swelling and discomfort.
2. Keep the area clean and avoid touching or rubbing your eyes.
3. Over-the-counter pain relievers can help manage the pain. Always follow the package instructions.
4. If you wear contact lenses, avoid wearing them until your symptoms have completely resolved.

What you should look out for

Please seek medical attention if:

• Your symptoms worsen or do not improve within a few days.
• You develop a fever, vision changes, or severe pain.
• The swelling spreads or becomes red, warm, or increasingly painful.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.